Laurentaylor.INC
Specialist/Technologist, Other in Bonney Lake, WA. Organization (NPI-2).
NPI number1649048596
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1649048596
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurentaylor.INC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
13418 186th Avenue Ct EBonney Lake, WA 98391-7449
Phone 206-999-6282
Mailing address
13418 186th Avenue Ct EBonney Lake, WA 98391-7449
Phone 206-999-6282
Other practice locations
902 Industry Dr
Tukwila, WA 98188-3412
Tukwila, WA 98188-3412
Phone 253-275-8626
Authorized official
Lauren Burns
Owner
2069996282
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